Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 14, 2024; 30(42): 4523-4531
Published online Nov 14, 2024. doi: 10.3748/wjg.v30.i42.4523
Comparing gastrointestinal dysfunction score and acute gastrointestinal injury grade for predicting short-term mortality in critically ill patients
Chao Shen, Xi Wang, Yi-Ying Xiao, Jia-Ying Zhang, Guo-Lian Xia, Rong-Lin Jiang
Chao Shen, Xi Wang, Yi-Ying Xiao, Jia-Ying Zhang, Guo-Lian Xia, Rong-Lin Jiang, Intensive Care Unit, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), Hangzhou 310006, Zhejiang Province, China
Co-first authors: Chao Shen and Xi Wang.
Author contributions: Shen C, Wang X and Xia GL carried out the studies, participated in collecting data; Shen C and Wang X drafted the manuscript; Zhang JY and Xiao YY performed the statistical analysis and participated in its design; Jiang RL designed the study, and revised the manuscript. All authors read and approved the final manuscript. Shen C and Wang X contributed equally to this study.
Institutional review board statement: The study protocol was approved by the Ethics Committee of the First Affiliated Hospital of Zhejiang Chinese Medical University (No. 2024-KLS-369-02).
Informed consent statement: The need for patient consent was waived due to the retrospective nature of the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rong-Lin Jiang, MS, Chief Doctor, Professor, Intensive Care Unit, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), No. 54 Youdian Road, Shangcheng District, Hangzhou 310006, Zhejiang Province, China. jiangronglin@126.com
Received: July 29, 2024
Revised: September 24, 2024
Accepted: October 18, 2024
Published online: November 14, 2024
Processing time: 94 Days and 6.2 Hours
Core Tip

Core Tip: Gastrointestinal (GI) function plays a crucial role in the prognosis of critically ill patients. The acute GI injury (AGI) grade and GI dysfunction score (GIDS) are valuable tools for assessing the severity of GI dysfunction and predicting mortality in this patient population. Our study revealed that both GIDS and AGI grade during the first week of intensive care unit (ICU) admission independently predicted 28-day mortality. However, GIDS within the first 24 hours did not prove to be a reliable predictor. The ability to predict 28-day mortality based on the maximum values of GIDS and AGI grade during the initial week of ICU admission was comparable.